Individual
ANDREA P JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147-15B ROOSEVELT AVE, 15B, FLUSHING, NY 11354
(917) 412-7516
Mailing address
14715B ROOSEVELT AVE, FLUSHING, NY 11354-4758
(917) 412-7516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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